| Dr Roy E Jonas, MD | |
|
300 Riverside Dr Ste 2400, Bourbonnais, IL 60914-5068 | |
| (815) 935-4907 | |
| (815) 935-1723 |
| Full Name | Dr Roy E Jonas |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 300 Riverside Dr Ste 2400, Bourbonnais, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760582316 | NPI | - | NPPES |
| 36-3167726 | Other | IL | GROUP TAX ID# |
| 4632039 | Other | IL | BC GROUP# |
| 36102006 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036102006 (Illinois) | Primary |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roy E Jonas, MD 300 Riverside Dr Ste 2400, Bourbonnais, IL 60914-5068 Ph: (815) 935-4907 | Dr Roy E Jonas, MD 300 Riverside Dr Ste 2400, Bourbonnais, IL 60914-5068 Ph: (815) 935-4907 |
Dr. Naina Batish, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 370 Larry Power Rd, Suite 1, Bourbonnais, IL 60914 Phone: 815-937-3515 Fax: 881-593-5491 | |
Dr. Myint S Oo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 370 Larry Power Rd, Suite 1, Bourbonnais, IL 60914 Phone: 815-937-3515 Fax: 815-935-4916 | |
Mrs. You S Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 370 Larry Power Rd, Suite 1, Bourbonnais, IL 60914 Phone: 815-937-3515 Fax: 815-935-4916 | |
Dr. Avtar K Razdan I, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 475 Brown Blvd, Suite 102, Bourbonnais, IL 60914 Phone: 815-939-0003 Fax: 815-935-4908 | |
Dr. Maria L Garcia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 370 Larry Power Rd, Suite 1, Bourbonnais, IL 60914 Phone: 815-937-3515 Fax: 815-935-4916 | |
Dr. Joanne M Leahy-auer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Riverside Dr Ste 2400, Bourbonnais, IL 60914 Phone: 815-935-4907 Fax: 815-935-1723 | |
Dr. Antoni Banas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Heritage Dr, Ste 209, Bourbonnais, IL 60914 Phone: 815-932-3540 Fax: 815-932-3611 |